MEDICARE: DR. PRATIMA SACHDEV M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	5293	NV

General Provider Information

NPI Number	:	1114073012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRATIMA SACHDEV M.D

Provider Business Mailing Address
First Line	:	40 WINTER ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-5605
Country	:	US
Telephone Number	:	775-786-0909
Fax Number	:	775-786-0995

Provider Business Practice Location Address
First Line	:	40 WINTER ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-5605
Country	:	US
Telephone Number	:	775-786-0909
Fax Number	:	775-786-0995

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

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